2. Disclaimer
The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug Information Association, Inc. (“DIA”), its directors, officers, employees, volunteers, members, chapters, councils, Special Interest Area Communities or affiliates, or any organisation with which the presenter is employed or affiliated. These PowerPoint slides are the intellectual property of the individual presenter and are protected under the copyright laws of the United States of America and other countries. Used by permission. All rights reserved. Drug Information Association, DIA and DIA logo are registered trademarks or trademarks of Drug Information Association Inc. All other trademarks are the property of their respective owners.

3. Disclosure Statement Type of Financial Interest within last 12 months
 I have no real or apparent relevant financial relationships to disclose
 I am employed by a regulatory agency, and have nothing to disclose
Please note that DIA is not requesting a numerical amount to be entered for any disclosure, please indicate by marking the check box, and then providing the company name only for those disclosures you may have.
Will any of the relationships reported in the chart above impact your ability to present an unbiased presentation?  Yes  No
In accordance with the ACPE requirements, if the disclosure statement is not completed or returned, participation in this activity will be refused.
Type of Financial Interest within last 12 months
Name of Commercial Interest 
Grants/Research Funding
Stock Shareholder
Consulting Fees
Employee
Other (Receipt of Intellectual Property Rights/Patent Holder, Speaker’s Bureau)

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